(Simon -this page is almost the same as the last so the changes are in red) Thank you for sharing your story. Please include details about your baby's experience that could help prevent another family from experiencing the tragic effects of a possible infection. Tremendous improvements have been made in the prevention and treatment of group B strep disease, but there is still much more work to be done to identify the causes of why babies become sick. If you have difficulty posting your story, please email firstname.lastname@example.org. If you would like to contact other GBS parents, please click here for our GBS parent connection and grief support page. Your baby's name or nickname: * Your country: * State/Province:- Unspecified Alabama (AL) Alaska (AK)Arizona (AZ)Arkansas (AR)American Samoa (AS)California (CA)Colorado (CO)Connecticut (CT)Delaware (DE)Washington D.C. (DC)Florida (FL)F.S. of Micronesia (FM)Georgia (GA)Guam (GU)Hawaii (HI)Idaho (ID)Illinois (IL)Indiana (IN)Iowa (IA)Kansas (KS)Kentucky (KY)Louisiana (LA)Maine (ME)Marshall Islands (MH)Maryland (MD)Massachusetts (MA)Michigan (MI)Minnesota (MN)Mississippi (MS)N. Mariana Islands (MP)Missouri (MO)Montana (MT)Nebraska (NE)Nevada (NV)New Hampshire (NH)New Jersey (NJ)New Mexico (NM)New York (NY)North Carolina (NC)North Dakota (ND)Ohio (OH)Oklahoma (OK)Oregon (OR)Palau (PW)Pennsylvania (PA)Puerto Rico (PR)Rhode Island (RI)South Carolina (SC)South Dakota (SD)Tennessee (TN)Texas (TX)Utah (UT)Vermont (VT)Virginia (VA)Virgin Islands (VI)Washington (WA)West Virginia (WV)Wisconsin (WI)Wyoming (WY) -Unspecified-Alberta (AB)British Columbia (BC)Manitoba (MB)New Brunswick (NB)Newfoundland (NF)Nova Scotia (NS)Northwest Territories (NT)Ontario (ON)Prince Edward Island (PE)Quebec (QC)Saskatchewan (SK)Yukon Territory (YT)Nunavut (NU)
Select a category for your baby's experience: * Unspecified Miscarriage Stillbirth Infant Death GBS Survivor Other
How far along was your pregnancy? * Examples: 12 weeks, 30 weeks, full-term.
Were you tested for GBS? * Don't know Yes No, considered GBS+ due to previous baby infected by GBS No, considered GBS+ due to my urine culture results No
If you were tested for GBS, what was the test result? Not tested Don't know Positive Negative
What was your treatment for GBS, if any? Unspecified IV antibiotics during labor and delivery Alternative treatments (please explain details in your story) Both of the above None, my baby was miscarried or stillborn No treatment
Did you test positive in this pregnancy for any other microorganisms such as cytomegalovirus (CMV) or E. coli or have a yeast infection? (please include details in your story including if any yeast infection was actually diagnosed through an exam, not just over the phone) Yes No I don't know
Date your baby was born, miscarried or stillborn:? (Simon, I will add in the years and days of the month) Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec
Date your baby died, if not the same as above:? Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec? How old was your baby when harmed ?* Examples: premature at 27 weeks, 3 days old, 4 months of age.
In what specific ways was your baby harmed? (please note you can describe your experience in detail later on this form) Examples: preterm labor caused premature birth resulting in hearing loss, chorioamnionitis, spent 3 days on ECMO, or meningitis
What do you think could have been differently that would have helped determine the cause of your baby's possible infection? (please note you can describe your experience in detail later on this form) Examples: placental testing, options for a partial autopsy, being tested for GBS
If you share GBS or infection prevention information with others, please tell us how? Examples: gave GBS brochures to all the pregnancy clinics in my town, post on pregnancy blogs, etc.
Your first name: * Your last name: * Your email: * (We require your email address only in case we need to contact you to clarify details before posting your story. GBSI will not share your email address with anyone.) Enter your story here (no size limit), or a link to your web site or blog: *
You may attach a photo of your baby, if desired. If you would like to submit more than one photo, please email them to email@example.com and let us know they are to be attached to your story. (Pictures can help tell your story, but please be aware that images posted on websites can also be downloaded by viewers.)